3356. Mushrooms in my small garden on Feb 12, 2018 at 1 pm

 These mushrooms are seen at 1 pm. Small flies attracted to them. The mushrooms bloom for around 2 days, shrivel and wilt. Some do not grow up to the maximal size. 
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Original files

3355. End of Microsoft Frontpage support by Earthlink

Dear EarthLink customer, On April 26, 2018 we will discontinue FrontPage support provided as part of your EarthLink Web Hosting package. Although Microsoft ended support of FrontPage in 2003, EarthLink maintained FrontPage Manager and supported customers using FrontPage and FrontPage Server Extensions. Microsoft FrontPage (or Microsoft Office FrontPage) is a discontinued HTML editor and website administration tool. Unfortunately, we will no longer support Microsoft FrontPage to ensure the highest standards and security for our customers. As of April 26, 2018, the FrontPage Manager application will no longer be available through the Control Center. If your website was built using FrontPage or FrontPage Manager, your website will stay online, however web components such as hit counters, feedback forms, guestbook pages and search boxes using FrontPage Server Extensions will no longer function.  You will also no longer be able to make changes or edits to your website using FrontPage Manager. If you have any other questions, call 800-955-0186 or trade real-time messages with a Live Chat representative at: http://support.earthlink.net/chat.

Thank you for being a loyal EarthLink customer. EarthLink 800-955-0186 http://www.earthlink.net/web-hosting

3354. An 11-year-old female red-eared slider has not eaten for past 2 weeks

Surfed internet and came to Toa Payoh Vets

Other images using yellow light from otoscope. Tongue is swollen, pigmented and ulcerated but there are no bleeding ulcers

"When will she recover her appetite?" the owners wanted the slider back home as the children miss her.
"It is hard to say as the tongue is ulcerated, bruised and swollen," I explained. "The X-rays showed the right uterus is filled with white liquid. The eyelids were swollen earlier."


X RAY shows radio-dense material in right uterus would be consumed abnormal eggs with broken shells and infections. Impacted right uterus and cloaca. Syringe fed daily and oral antibiotics. One SC injection of baytril and pred on Day 1. 

WEIGHT OF RES

Admission Date  Feb 8, 2018        1.65kg
Feb 9         1.65kg
Feb 10        1.65kg
Feb 11        1.67 kg   
Feb 12        1.67kg
Feb 13        1.67kg 

Syringe fed 100 pellets + 1 teaspoonful Critical Care daily. Does not eat pellets for the past 5 days. Had passed little greenish loose stools and sticky white piece on Day 2. 
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COMPARE   ABOVE SWOLLEN TONGUE TO ALMOST NORMAL TONGUE OF 25-YEAR-OLD SLIDER ON DAY 16 OF TREATMENT FOR TONGUE ULCERATIONS

                                            Two side ulcers in the tongue are healing as they become smaller in size




                       

3353. Chow Chow images

Feb 11, 2018

Poster of Chow Chow in a retail shop shopping mall. Normal large eyes

3352. Images from Japan

Kumamato Park in Oct 2018

3351. A 13-month-old dwarf rabbit eats hay but not pellets for the past 2 days. X-rays of rabbit abdomen

Feb 7, 2018

The pet shop referred the expatriate owner to Toa Payoh Vets for neuter in Oct 2017. When the rabbit had stopped eating pellets but not hay for the past 2 days, the owner phoned the pet shop and was referred to Toa Payoh Vets today.
   
Why did the rabbit stop eating pellets?

Abdominal palpation is very important if the rabbit has no teeth probems.
I elicited intense pain when the anterior abdomen was palpated.  I felt small faecal lumps of 0.5 mm.

Dr Daniel palpated a lump around 1 cm across in the anterior abdominal area. 

Gastric ileus/stasis was evident from the X-ray, showing a fully distended stomach. Was there hair balls?  Pain-killers and antibiotic enabled the rabbit to eat 6 pellets the next morning when I phoned. 20-25 smaller sized faecal pellets were passed.
That was great news for the day. Later in the evening, the owner said that the rabbit was not eating pellets.

I advised giving the Fiberplex 3 x per day and water in syringes, piece of apple and the pain killer meloxicam and antibiotics baytril orally. To count the faecal pellets. Will let me know the results on Feb 9, 2018 (next day) afternoon.

The owner could not provide info on how many faecal pellets and their sizes before coming to Toa Payoh Vets for consultation.

X RAYS

Sunday Feb 11, 2018  10 am
After one night of in-patient and given 30 pellets from 6 pm on Feb 10, 2018, the rabbit had eaten 20/30 pellets and passed 150 faecal pellets overnight. This would be around 16 hours. The evidence of such stools and pellets were shown to the owner and the rabbit went home.


 Feb 11, 2018 7 pm
The daughter said that the rabbit would hide in a corner of the corridor instead of being active. This was a cause of concern. I advised sending the rabbit back for observation again for more than one day, as the parents were worried about the "round lump" of 1 cm across discovered earlier. No ultrasound was done as the rabbit was back to normal appetite and had eaten 20/30 pellets overnight.


Update in Feb 17, 2018. The rabbit has recovered and is active again
 No more hiding in the corner.


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OTHER RABBIT CASES WITH X RAYS for comparison
CASE 2.  This rabbit has no gastric ileus

 http://2010vets.blogspot.sg/2016/12/2982-2-year-old-holland-lop-rabbit-has.html

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CASE 3. This rabbit has gastric ileus/stasis --- gastric distension and pain
--- stopped eating

http://2010vets.blogspot.sg/2016/08/2905-functional-ileus-in-rabbit-that.html

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CASE 4. No gastric ileus/stasis
http://2010vets.blogspot.sg/2015/12/2892-biting-rabbit-passes-blood-in-urine.html

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13 Aug 2023. Tele-consultation with a rabbit owner from India. His rabbit has a bladder stone. Surgical removal is the treatment. If the rabbit has urinary difficulties or infections, surgery is advised.

3350. Chinese New Year - mandarin orange tree images

Feb 5, 2018. Sunday

Bright and sunny afternoon

3349. A solitary mushroom Feb 2 to Feb 5, 2018

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Feb 4, 2018

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Feb 5, 2018  8.12 am

3348. A 10-year-old Golden Retriever has anal sac discharge after 2 treatments by the vet

Feb 1, 2018

"I feel very peck chek (frustrated in Chinese Hokkien dialect) as my dog passes smelly bloody anal discharge for the 3rd time. She was treated by Vet 1 twice, within 10 days, and the problem returned. The vet had told me that a biopsy (over $500) will be needed if the discharge occurred at the 3rd time!

She had paid $3000 for her dog eyeball removal and was wary of veterinary fees.
Her friend referred her to me. Dr Daniel expressed smelly black anal sac oil via digital expression.
The owner wants a cure, not going to the vet the 4th time to express oil.

This is a case of a possible anal sac necrosis with or without a tumour. Medical therapy by expression of the sacs has not worked.

Possible treatments are:
1. Catheterise the sacs and irrigate with saline and antibiotics. Sedation is needed.
Medication after antibiotic sensitivity test. Wait and see if the bleeding recurs.
2. Biopsy. The owner wanted a permanent cure and this was not a cure.
3. Anal sacculectomy as medical therapy via anal sac expression for 3rd time (rectal digital expression) still shows bloody smelly discharge at Toa Payoh Vets.
The owner would consult her husband as one complication is faecal incontinence after removal of the anal sacs.

Conclusion
Owner wanted Option 1 which is scheduled 2 weeks later as the anal sacs now are inflamed.  She is worried about faecal incontinence and will have to clean the backside if that occurs.

E-collar, R/D diet to reduce weight from 25 kg to 22 kg and provide fibre.
Blood test normal findings.